Provider Demographics
NPI:1558698431
Name:MELLO, DINA PAIVA (NP)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:PAIVA
Last Name:MELLO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:795 MIDDLE STREET
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721
Mailing Address - Country:US
Mailing Address - Phone:508-674-4625
Mailing Address - Fax:508-674-4626
Practice Address - Street 1:795 MIDDLE ST
Practice Address - Street 2:SAINT ANNE'S PAIN CENTER
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1798
Practice Address - Country:US
Practice Address - Phone:508-674-4625
Practice Address - Fax:508-674-4626
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN164130363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner